Provider Demographics
NPI:1134908668
Name:POZNANSKI, ISABEL
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:POZNANSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 D ST UNIT 316
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-1279
Mailing Address - Country:US
Mailing Address - Phone:908-881-4149
Mailing Address - Fax:
Practice Address - Street 1:144 NORTH RD STE 3450
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-1183
Practice Address - Country:US
Practice Address - Phone:978-291-4942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health